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MIGUEL ANGEL MARTINEZ MD
NPI 1033472741
Family Medicine in Fontana, CA

Active since June 18, 2012PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
16854 IVY AVE STE A, FONTANA, CA 92335(909) 791-1000(909) 781-6000 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2025, Oct 12, 2020 (2 updates tracked since 2020).

About Miguel Angel Martinez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIGUEL ANGEL MARTINEZ MD (NPI 1033472741) is an individual family medicine provider in Fontana, California, licensed in California (A128522) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Geffen School Of Medicine (2012).

NPPES Registry Identity

NPI1033472741
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMIGUEL ANGEL MARTINEZCredential: MD
Location Address16854 IVY AVE STE AFontana, CA 92335-1504
Mailing Address4240 Highland AveHighland, CA 92346-2764 · (909) 674-1900 · Fax (909) 735-4200
Phone(909) 791-1000
Fax(909) 781-6000
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2012
Enumeration DateJune 18, 2012
Last NPPES UpdateFebruary 17, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1033472741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A128522
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
16854 IVY AVE STE A, Fontana, CA 92335
Open in Google Maps ↗

Secondary Practice Locations 2

Location 117051 Sierra Lakes Pkwy Ste 101Fontana, CA 92336-1274 · Phone (909) 864-4700 · Fax (909) 428-2191
Location 24240 Highland AveHighland, CA 92346-2764 · Phone (909) 674-1900 · Fax (909) 735-4200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miguel Angel Martinez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719291046
PECOS Enrollment IDI20150730013866
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
117 services74 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services46 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
60 services60 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
30 services29 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
23 services17 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers18 claims46 services$4.85 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers25 claims25 services$44.67 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims937 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers13 claims13 services$22.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA DIANA JUAREZ
Community Health Worker
16854 IVY AVE STE A
FONTANA, CA 92335
San Bernardino County (909) 791-1000
CINTHYA FLORES SIGALA CHW
Community Health Worker
16854 IVY AVE STE A
FONTANA, CA 92335
San Bernardino County (909) 791-1000
MS. MICHELLE PINON
Marriage & Family Therapist
16854 IVY AVE STE A
FONTANA, CA 92335
San Bernardino County (909) 791-1000
MRS. MARGARITA LUCAS LEWIS-UPTON
Nurse Practitioner (Gerontology)
16854 IVY AVE STE A
FONTANA, CA 92335
San Bernardino County (909) 791-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miguel Martinez's NPI number?

The NPI number for Miguel Martinez is 1033472741. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Miguel Martinez located?

Miguel Martinez practices at 16854 Ivy Ave Ste A, Fontana, CA 92335. The listed phone number is (909) 791-1000.

What is Miguel Martinez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Miguel Martinez enrolled in Medicare?

Yes. Miguel Martinez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Miguel Martinez was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.